| NPI | 1427701358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN LEE Administrator 702-368-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |